A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementiThe nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:

Correct Answer: C

Rationale: Step-by-step rationale for why choice C (case manager) is correct: 1. A case manager coordinates referrals and services for patients with complex needs, such as this patient with diabetes and dementia. 2. In this scenario, the nurse is coordinating referrals to an endocrinologist and organizing physical therapy, which aligns with the role of a case manager. 3. Case managers ensure continuity of care and facilitate communication between different healthcare providers. 4. The nurse's role in organizing follow-up care and services for the patient falls under the responsibilities of a case manager. Summary of why other choices are incorrect: A: Informatics specialist - This role focuses on managing health information systems, not coordinating referrals and services for patients. B: Educator - While education may be a component of the nurse's role, the primary focus in this scenario is on coordinating referrals and services, which is more in line with a case manager's responsibilities. D: Quality manager - Quality managers focus on ensuring healthcare services meet quality standards

Correct Answer: D

Rationale: The correct answer is D: Biofeedback. Biofeedback is a type of CAM that involves using electronic devices to help individuals gain awareness and control over physiological processes, such as heart rate and muscle tension. In this case, the older adult is using imagery as a form of biofeedback to alter the dysrhythmia. Ayurveda (A) and Dosha (B) are traditional Indian systems of medicine based on balancing bodily energies, not directly related to using imagery for heart rhythm control. Homeopathy (C) is a system of alternative medicine based on the concept that "like cures like" and uses highly diluted substances, not imagery or biofeedback techniques.

Correct Answer: B

Rationale: The correct answer is B: Level B. In a scenario involving Sarin, a highly toxic nerve agent primarily inhaled, Level B protective equipment is required. Level B PPE includes a chemical-resistant suit, chemical-resistant gloves, chemical-resistant boots, and a full-face respirator with appropriate filter cartridges. The choice of Level B is based on the fact that Sarin is primarily inhaled, indicating the need for respiratory protection. Level A is typically used for the highest level of protection, including protection against highly toxic chemicals in both the air and on the skin, which is not necessary in this scenario. Level C and D do not provide adequate protection against a highly toxic chemical like Sarin.

Correct Answer: A

Rationale: The correct answer is A because it aligns with the 2012 National Patient Safety Goals, specifically the goal of improving the accuracy of patient identification. By asking the patient to confirm their name, type of surgery, and limb to be removed, the surgical team is ensuring that they have the correct patient and are performing the correct procedure. This protocol helps prevent errors and ensures patient safety. Option B is incorrect because asking for licensure and certification does not directly relate to patient safety or accurate patient identification. Option C is incorrect because relying solely on chart numbers or hospital numbers may not be sufficient to prevent errors in patient identification. Option D is incorrect because while marking the procedure site is important, relying solely on the patient to verify the correct site may not be as effective as having the healthcare team confirm this information with the patient.

Correct Answer: D

Rationale: The correct answer is D because asking about the number of children the candidate has could potentially lead to discrimination based on family responsibilities, which is illegal. This question is not related to the candidate's ability to perform the job duties in the operating room. A: Asking about criminal convictions is legal for certain positions for safety reasons. B: Mentioning pre-employment checks is standard practice and not illegal. C: Inquiring about weaknesses is a common interview question and not discriminatory.

Correct Answer: D

Rationale: The correct answer is D: performance-based assessment. This type of evaluation focuses on assessing students' ability to perform tasks and demonstrate competence in real-world scenarios, such as client care environments or with standardized patients. It is a more practical and hands-on approach compared to traditional pencil-and-paper evaluations. Core practice competencies (A) refer to essential skills and knowledge required for a specific profession. Continuing competence (B) involves ongoing professional development to maintain skills and knowledge. Distance learning (C) is a method of education that does not require physical presence in a traditional classroom setting. Performance-based assessment best aligns with the description provided in the question, making it the correct choice.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Asking about the role nurses have in determining the quality of care is crucial to understanding the level of autonomy and influence nurses have in the workplace. This question shows the nurse's commitment to patient care and the importance of nursing contributions in improving outcomes. It also indicates the nurse's interest in being part of a collaborative healthcare team. Summary of Incorrect Choices: A: This question focuses primarily on financial aspects and does not address the nurse's professional role in patient care. B: While benefits are important, asking about benefits specific to RNs only may come off as self-centered and not reflective of the nurse's commitment to patient care. D: Inquiring about long-term economic security is essential, but it does not directly address the nurse's role in quality care delivery, which is the primary focus of professional nursing practice.

Correct Answer: C

Rationale: The correct answer is C: Clara Maas. Clara Maas died after deliberately acquiring two bites from yellow fever carrier mosquitoes to provide care during the Spanish-American War. This is correct because Clara Maas was a real historical figure known for her selfless dedication to nursing and her sacrifice to help others. Florence Nightingale (A) is renowned for her work in nursing during the Crimean War, but she did not die from acquiring yellow fever. Margaret Hoolihan (B) and Sairy Gamp (D) are fictional characters and not relevant to the historical context of the Spanish-American War.

Correct Answer: B

Rationale: The correct answer is B: Specialty organizations such as the American Psychiatric Nurses Association lobby for higher education requirements for nurses. Rationale: 1. Specialty organizations like the American Psychiatric Nurses Association focus specifically on mental health nursing, ensuring targeted advocacy and support. 2. Lobbying for higher education requirements demonstrates a commitment to advancing the profession and improving the quality of care. 3. Higher education requirements can lead to better outcomes for patients and enhance the credibility and expertise of mental health nurses. Summary: A: The American Nurses Association may have a broad reach, but it may not prioritize mental health nursing specifically. C: State nursing associations may have limitations in lobbying power, focusing more on state-level issues. D: Professional organizations like AAHN, while valuable for preserving history, may not actively advocate for current professional development and standards.